Provider Demographics
NPI:1093525123
Name:BENAVIDES, HEIDI LYNN (APRN-FNP-)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:LYNN
Last Name:BENAVIDES
Suffix:
Gender:F
Credentials:APRN-FNP-
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7946 N LOOP 1604 W FL 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-5174
Mailing Address - Country:US
Mailing Address - Phone:210-567-9150
Mailing Address - Fax:210-450-2161
Practice Address - Street 1:7946 N LOOP 1604 W FL 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-5174
Practice Address - Country:US
Practice Address - Phone:210-567-9150
Practice Address - Fax:210-450-2161
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1179369363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner